Elizabeth Eddy-Bertrand, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G080676 Issued in CA

Practice address

18350 Roscoe Blvd
Suite 600
Northridge, CA 91325

Phone

(818) 727-1515

Fax

(818) 727-7997

NPI assigned

Sep 26, 2006

Last updated

Feb 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hope Family Medicine IncGroup PAC ID 0749767085, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amity Home Health, Inc Home health agency, Northridge, CA, CCN 058268
• Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score

92.78 of 100Reported as group

Quality

100

Improvement activities

40

Cost

55.19

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hope Family Medicine, Inc.

  • Family Medicine Physician
  • Northridge, CA
  • NPI 1518833797
  Medicare reassignment Care Compare group NPD Authorized official
• Family Medicine Associates of Northridge a Medical Group Inc

  • Family Medicine Physician
  • Northridge, CA
  • NPI 1104984327
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amity Home Health Inc

  • Home Health Agency
  • Northridge, CA
  • NPI 1114920931
  Care Compare affiliation
• Dignity Community Care

  dba Northridge Hospital Medical Center

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1669573218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "SUITE 600",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325",
            "telephone_number": "818-727-1515",
            "fax_number": "818-727-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 ROSCOE BLVD",
            "address_2": "SUITE 600",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "91325",
            "telephone_number": "818-727-1515",
            "fax_number": "818-727-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDY-BERTRAND",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G080676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0061720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahin Ebrahimian, M.D.
• Candice Echeverria, IBCLC
• Daniel Echeverry Bustamante, PT
• Sarah Echlin
• Edalat Dental Group, Apc
• Stanley Edick, PHARM D
• Kendra Ednacot, DOCTOR OF PHARMACY
• Heidi Ann Edsall, PT
• Edwin O. Yellin MD, Inc
• Efficient Home Health Services, Inc.

• Family Medicine Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.